NORTHEASTERN SOCIETY OF PERIODONTISTS, INC. EXHIBITOR CONTRACT

This form is to be filled out to exhibit at our semi annual meetings. The NESP will provide a 2x6 foot draped table and a 1x6 foot table behind it and 2 chairs In the exhibit area. All other costs including electricity and shipping are the responsibility of the exhibitor.

Company Name*

Address*

Street AddressAddress Line 2CityStateZIP Code

Website

Phone*

Fax

Contact Person*

FirstLastTitle

Email*

Phone*

Cost of Space*

One Meeting - $2000

Both meetings if prepaid by February 15th of the current year - $3500

Both meetings if not paid by February 15th - $4000

Platinum Sponsorship - $5000

Yes

No

Total

$0.00

You may submit payments to our office using this form with or without an existing PayPal account! Please click the button below to continue to the next step.